To save content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about saving content to .
To save content items to your Kindle, first ensure no-reply@cambridge.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about saving to your Kindle.
Note you can select to save to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
This Element traces the origins and earliest manifestations of gender bias in the English language. The analysis is based on a corpus of Old English prose texts, written between the ninth and the eleventh centuries. The results are interpreted in the historical, cultural and literary context of Anglo-Saxon England and early medieval Europe. The investigation shows a significant difference in the way women and men are presented in Old English texts, with the former clearly associated with family life, portrayed in the context of their physical appearance, marriage and childbearing, rarely involved in meaningful activities and presented as possessions of their male relatives. Situating the linguistic representations of women in the context of Christianity, the Element demonstrates that late Old English can be seen as a vehicle of language bias that will establish male domination for centuries to come. This title is also available as Open Access on Cambridge Core.
This Element explores the transformative impact of integrating service design principles into public management and administration, championing a user-centred approach and co-design methodology. By reviewing existing literature, the authors define the scope and applications of service design within public administration and present three empirical studies to evaluate its implementation in public services. These studies reveal a trend towards embracing co-design and digital technologies, advancing a citizen-centred strategy for public service design. This approach prioritizes value creation and responsiveness, highlighting the importance of involving users and providers in the development of services that meet changing needs and promote inclusion. Combining theoretical insights with practical solutions, the Element offers a comprehensive framework for public management research. It highlights the need for ongoing engagement and integration of user experiences, presenting an effective strategy to navigate the complexities of public service design. This title is also available as Open Access on Cambridge Core.
Person-centered care that honors individual preferences can improve the well-being of nursing home (NH) residents with Alzheimer’s disease and related dementias (ADRD). However, preferences such as going outside independently are often restricted due to perceived safety risks. There is a critical need for strategies that help NH staff balance safety concerns with residents’ autonomy.
Materials and methods:
We developed the Decision-making In aGing and demeNtIa for autonomy (DIGNITY) intervention using the Community-Engaged Intervention Mapping (CEIM) Model. This multilevel, theory informed program was codesigned with NH stakeholders to support shared decision-making and promote preference-congruent dementia care.
Results:
A total of 53 stakeholders participated in focus groups and engagement sessions. Feedback informed six key refinements to the DIGNITY program: manual formatting, communication strategies, staff role delineation, addressing resident decision-making capacity, and identifying implementation barriers and facilitators. The final intervention includes a structured manual, decision-making tools, and a training and coaching program to support NH staff in honoring resident preferences while managing perceived risks.
Conclusion:
DIGNITY is a novel, stakeholder-informed intervention designed to support preference-based dementia care in rural NHs. Future research should assess its feasibility, acceptability, and impact on staff attitudes and resident outcomes.
This study looks at future water deficit in glacier-fed river basins in Asia and the Andes under three possible global development pathways. The results show that a world with high population growth and low technological progress faces the greatest water stress. Scenarios with better technology or lower climate impacts reduce water deficits. Glacier meltwater increases temporarily under stronger warming but declines later in the century. Overall, the study highlights the need for climate mitigation and better water management to reduce future water scarcity.
Technical summary
This study assesses water scarcity in selected glacierized basins across Asia and the Andes under three Shared Socioeconomic Pathway (SSP) scenarios (SSP1-2.6, SSP3-7.0, and SSP5-8.5). Using a novel integration of the Open Global Glacier Model (OGGM), the Xanthos hydrological framework, and the Global Change Assessment Model (GCAM), we estimate water availability and demand while accounting for glacier runoff and its temporal dynamics. Results reveal SSP3-7.0 as the most water-scarce scenario due to high water demand, higher population and low technological development. Instead, SSP5-8.5 results in slightly lower water scarcity risks than SSP3-7.0 due to its higher technological efficiency and lower population. Finally, SSP1-2.6 results in lower cumulative surface water deficits due to lower climate change impacts, better water and energy technology, and lower population. Glacier runoff has a peak in its contribution under severe climate scenarios (SSP3-7.0 and SSP5-8.5) and experiences a decline in the second half of the 21st century. The findings underscore the importance of effective mitigation to avoid peak-water occurrence under high emissions scenarios and adaptation measures, such as improving irrigation efficiency and reducing withdrawals, to address anthropogenic-induced water scarcity.
Social media summary
Increase water scarcity and glacier runoff decline under severe climate change scenarios in Asian and Andean basins.
Most psychiatric disorders in adulthood originate in childhood or adolescence. Hence, managing mental health in children and adolescents is crucial. This clinical reflection aims to capture some of the contemporary and emerging trends in teaching and training in child and adolescent psychiatry worldwide. Future directions for child and adolescent psychiatry training programmes are also highlighted.
Theories of bounded rationality join process reliabilists in holding that rationality is ecological, or environment-relative. Most theories of ecological rationality, like most versions of reliabilism, have been externalist. In this paper, I develop a de-externalized account of ecological rationality. I show how the account retains many advantages of externalist accounts while avoiding key challenges. I conclude with an application to the psychology of poverty, focusing on the rationality of agents caught in poverty traps.
Efficient global localization of mobile robots in symmetrical indoor environments remains a formidable challenge, given the inherent complexities arising from uniform structures and a dearth of distinctive features. This review paper conducts an in-depth investigation into the nuances of global localization strategies, focusing on symmetrical environments, such as extended corridors, symmetrical rooms, tunnels, and industrial warehouses. The study comprehensively reviews and categorizes key techniques employed in this context, encompassing probabilistic-based approaches, learning-based approaches, Simultaneous Localization and Mapping (SLAM)-based approaches, and optimization-based approaches. The primary goal is to provide a contemporary and thorough literature review, offering insights into existing global localization solutions, followed by extant methods tailored for symmetrical indoor spaces. Also, the paper addresses practical challenges associated with implementing various global localization techniques, contributing to a holistic understanding of their real-world applicability. Comparative experimental results demonstrate that hybrid approaches achieve superior localization accuracy in symmetrical environments compared to any single method alone. These experiments, conducted in indoor settings with different symmetry levels, highlight the hybrid approach’s robustness and precision in resolving symmetry-induced ambiguities. This work signifies a significant step forward in mobile robot global localization, which addresses symmetrical environments’ complexities by leveraging the strengths of hybrid methodologies.
This study explored the effects of different preparations of Akkermansia muciniphila (AKK) on the gut microbiota and jejunal transcriptome of lipopolysaccharide (LPS) challenged yellow-feathered broilers. A total of 100 one-day-old broilers were divided into five groups, including control group (Control), LPS injection (LPS), gavage of AKK broth culture plus LPS injection (AKK), gavage of viable AKK suspension plus LPS injection (Active) and gavage of heat-inactivated AKK suspension plus LPS injection (Inactive). Growth performance results showed that LPS significantly reduced the body weight of broilers. Alpha diversity showed no significant group differences. At the phylum level, Firmicutes was significantly lower in groups with AKK gavage. At the genus level, Bacteroides was relatively more abundant, whereas Streptococcus was numerically less abundant in AKK-treated groups. The Active group had the highest abundance of Akkermansia. Transcriptome analysis revealed the Inactive group had significantly lower Occludin. Combined KEGG and GO analyses revealed that the LPS challenge suppressed innate immunity by downregulating the Retinoic acid-inducible gene (RIG)-I-like receptor signaling pathway. In response, different interventions distinctly modulated the transcriptome. The AKK group counteracted this suppression by upregulating innate immune and antiviral defense responses. The Active group primarily influenced metabolism, downregulating pathways for drug and glutathione metabolism and xenobiotic responses while upregulating retinol metabolism. In addition, the Inactive group demonstrated an upregulation of ribosome biogenesis, and energy metabolism, suggesting a restoration of core cellular functions. In summary, all gavaged AKK preparations maintained broiler gut microbiome stability, while AKK broth culture demonstrated superior efficacy in alleviating LPS-induced jejunal stress.
Coastal areas are vital hubs for diverse ecosystems and socio-economic activities, but they face significant threats from climate change, biodiversity loss and pollution. These challenges require urgent, cooperative actions and interdisciplinary approaches to develop sustainable solutions. However, interdisciplinarity requires blurring traditional academic disciplinary boundaries, and this can be a challenge. Increasingly, early-career researchers (ECRs) are undertaking interdisciplinary research while facing uncertainty about their career progression. In this research paper, we explore the challenges and opportunities faced by ECRs in the United Kingdom conducting Interdisciplinary Coastal Research (IDCR). We draw on findings from internal workshops, webinar discussions and an online survey, all conducted in 2024. The main barriers to IDCR are systemic in nature and include demanding workload, short-term contracts, ineffective supervisory and limited institutional support. Generally, ECRs felt positive about the benefits of interdisciplinarity to coastal research and their career development, but some ECRs expressed feelings of impostor syndrome. Enhanced flexibility in approaches, improved communication and open-mindedness are among the proposed solutions. This research highlights the mismatch between the ambition and the day-to-day reality of ECRs working in IDCR and provides recommendations for IDCR, which can both enhance the experience of ECRs and secure better outcomes for coastal areas.
There is today a growing variety of types of memory mediations that often go further than memorialisation and heritage-building. Comics are undoubtedly part of this movement as their verbal-visual storytelling form tends to prompt layered responses from reader-viewers. Reader-viewers find themselves surprised, moved, and transformed by that reading experience. In this article, we take as a case study a comic page laying out the impact of agriculture’s industrial organisation in France shared by Les Soulèvements de la Terre (The Earth Uprisings) and its sister organisation, the Bassines Non Merci collective. It is a good example to address our central questions of how multimodal languages such as this one-page comic facilitate the process of transformative learning and how such multimodal forms allow one to move from memory-making, crystallising a specific event, to an amplification of engagement that leads to collective action. In short, it allows us to study the specific mechanisms and affordances that multimodal modes of communication, such as comics, possess as tools for transformative learning. In the first section of the article, we investigate the different types of relational engagement that can lead to transformative learning in comics. The second section focusses more specifically on emotions and their role in transformative learning. Finally, we look at the specific comics mechanisms that support transformative learning. Specifically, we look at how comics create a disjunction, give meaning to that disjunction, and help reader-viewers practise real or imaginary resolution that impact identity formation.
The 22q11.2 Deletion Syndrome (22q11DS) is the most common chromosomal microdeletion disorder, characterised by a heterogeneous clinical spectrum including immunodeficiency, autoimmunity, and neuropsychiatric comorbidities. This systematic review critically appraises current evidence on autoimmunity in 22q11DS, fulfilling the need for an unbiased and comprehensive synthesis of the current literature.
Methods
An extensive search was conducted through PubMed, Web of Science, EMBASE, CINAHL, and the Cochrane Library using Boolean combinations of relevant keywords. Qualitative studies, abstracts, conference proceedings and non-English studies were excluded.
Results
A total of 82 peer-reviewed studies published since 1968 were identified. We identified a total of 40 distinct autoimmune conditions involving multiple organ systems. Haematological disorders were most frequently cited, followed by autoimmune thyroid diseases and systemic autoimmune diseases. Less common conditions included coeliac disease, psoriasis, vitiligo, alopecia areata, Raynaud’s phenomenon, and vasculitis, while 19 diseases appeared only as single-case reports. Neuropsychiatric manifestations were addressed in 24 studies.
Conclusion
Our review confirms that autoimmunity is a complication of 22q11DS and highlights the need for epidemiological studies across organ-systems and inclusion of ethnically diverse populations. There was substantial variation in study designs, underscoring the need for more standardised approaches and larger sample sizes.
Perinatal palliative care (PPC) offers holistic support to families of babies with life-limiting conditions, addressing emotional, psychological, and practical needs alongside ensuring dignity for the baby. While there is growing evidence to support its benefits, there remains inconsistent service provision, limited integration with maternity care, and regional disparities. This study explores parental experiences with perinatal hospice services to inform future care models.
Methods
The study was undertaken in the Northwest of England. Fourteen semi-structured interviews were undertaken with 17 parents (three joint interviews) who had experienced perinatal loss and had engaged with PPC services. Semi-structured interviews were used to gather insights into their perceptions of care they received, focusing on issues such as communication, the timing of referrals, and the emotional and practical support provided. Data was analyzed using a thematic analysis approach.
Ethical approval
The obtained REC reference: 22/YH/0028 Results Five key themes were identified: the significance of language used by healthcare professionals when discussing the baby’s condition; the importance of timely introduction to hospice care; recognition that grief is a personal and evolving process; the role of shared experiences in building relationships; and the importance of creating lasting memories.
Significance of results
Findings highlight the importance of improving healthcare professionals’ communication skills and integrating multidisciplinary palliative care services early in the care pathway. Parents expressed gratitude for the hospice support, particularly the opportunity to spend quality time with their baby and make lasting memories. However, a more consistent perinatal hospice care provision across the UK is needed.
As people increasingly interact with large language models (LLMs), a critical question emerges: do humans process language differently when communicating with an LLM versus another human? While there is good evidence that people adapt comprehension based on their expectations toward their interlocutor in human–human interaction, human–computer interaction research suggests the adaptation to machines is often suspended until expectation violation occurs. We conducted two event-related potential experiments examining Chinese sentence comprehension, measuring neural responses to semantic and syntactic anomalies attributed to an LLM or a human. Experiment 1 revealed reduced N400 but larger P600 responses to semantic anomalies in LLM-attributed text than human-attributed one, suggesting participants anticipated semantic errors yet required increased composition/integration efforts. Experiment 2 showed enhanced P600 responses to LLM-attributed than human-attributed syntactic anomalies, reflecting greater reanalysis or integration difficulty in the former than in the latter. Notably, neural responses to LLM-attributed semantic anomalies (but not syntactic anomalies) were further modulated by participants’ belief about humanlike knowledge in LLMs, with a larger N400 and a smaller P600 in participants with stronger belief of humanlike knowledge in LLMs. These findings provide the first neurocognitive evidence that people develop mental models of LLM capabilities and adapt neural processing accordingly, offering theoretical insights aligned with multidisciplinary frameworks and practical implications for designing effective human–AI communication systems.